NPI | 1710759550 |
---|---|
Former Name | JENNEY JENEAN FRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61528738) |
Enumeration Date | 2023-10-25 |
Last Update Date | 2024-04-25 |